Ðe do aɖe le gli ŋu le wò ŋɔti mea? (Perforated Septum) Mina míaƒo nu tso esia ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be seselelãme wɔnuku aɖe si ƒu kplakplakpla le wò ŋɔti mea? Alo ɖe nèsea ɣlidodo vi aɖe ne èle gbɔgbɔm? Ðewohĩ menye dzamezã ƒe dzesiwo koe esiawo nye o. Egbea míele nu ƒom tso nɔnɔme aɖe si womesena fũ o, gake ele vevie ŋutɔ be woanyae ŋu.

Kpuie ko la, nukae nye septum si me do le?

Enyo, mina míalé ŋku ɖe nusi nye no me gli sia nye ŋu gbã. Ŋɔti eve le asiwò, alo? Akpa ma si ma ŋɔti eveawo dome, si nye lãkusi si le eme (si woyɔna be `mucosa` lãkusi) kple akpa si fa vie si woyɔna be `cartilage` , eye wòganye ƒu ƒe akpa aɖe hã, ye nye nusi míeyɔna be ŋɔti ƒe gli ememetɔ , alo `septum` . Ele abe gli si le xɔ eve dome ene. Esia tae ne míegbɔ ya to míaƒe ŋɔti me la, ya toa mɔ eve dzi gena ɖe eme ɖo.

Fifia, septum si me do le nye ne do, do, alo gbagbãƒe aɖe do le gli la me si ma ŋɔti eveawo dome le susu aɖe ta. Bu eŋu abe do sue aɖe si le gli ŋu si ma xɔ eveawo dome ene. Ɣeaɖewoɣi la, do sia nana ŋɔti ƒe gli gbɔdzɔna, eye dzesiwo ate ŋu adze le ŋuwò. Emegbe ele be nàxɔ atike. Gake menye ɣesiaɣie esia nyea nu vevi o. Do sia ate ŋu anɔ ame aɖewo ŋu kuxi alo dzesi aɖeke manɔmee. Le nɔnɔme mawo me la, le esi teƒe be ɖɔkta nadae la, ate ŋu agblɔ na wò be nànɔ ŋku lém ɖe eŋu.

Ðe nɔnɔme siawo le asiwòa?

Ɣeaɖewoɣi la, ɖewohĩ mànya gɔ̃ hã be do aɖe le yeƒe ŋɔti ƒe gli ŋu o. Esia fia be ɖewohĩ dzesi aɖeke manɔ eŋu o. Gake ne dzesiwo dze la, ate ŋu aɖe fu na ame ŋutɔ. Kpɔe ɖa be dzesi siawo ɖi nusi nènya nyuie hã:

• Kuɖiɖi kple ŋɔti ƒe ƒuƒoƒo ɖe ŋɔti me: Ne wò ŋɔti ƒuna ɣesiaɣi eye nèsena le ɖokuiwò me abe ɖe ŋɔti suesuesuewo le eme ene.
• Saddle nose deformity: Ame aɖewo ate ŋu akpɔe be edze abe yewoƒe ŋɔti tame, abe tɔdzisasrã ene, nyrɔ ɖe eme vie ene.Woyɔa esia be saddle nose deformity .
• No me ʋuʋu: Gbɔgbɔ sesẽ, sese le ɖokuiwò me abe ɖe wò ŋɔti xe ene.
• Ʋu si dona le ŋɔti me: Ne ʋu le dodom le ŋɔti me enuenu.
• Sisi le ŋɔti me: Ne ŋɔti me tsi le dodom le ŋuwò evɔ dzamezã gɔ̃ hã medze ŋuwò o.
• Kpẽkuku ƒe ɖiɖi ne èle gbɔgbɔm to ŋɔti me: Ne èse ɣlidodo vi aɖe tso ŋɔti me, vevietɔ ne èle gbɔgbɔm sesĩe.

Ðe mate ŋu atsɔ nye asibidɛ aka asi eŋua? Ðe wònyo be woawɔ ema?

Ẽ, ɣeaɖewoɣi la, àte ŋu age ɖe do ma me ne ètsɔ wò asibidɛ de eme Gake ema menye nu nyui kura o, alo?Mègawɔe nenema kura o. Elabena ne ètsɔ wò asibidɛ de wò ŋɔti me eye nèdze agbagba be yeadi doa la, nyaƒoɖeamenua ate ŋu avuvu ŋɔti me lãkusia geɖe wu, si ana doa nalolo. Azɔ hã, dɔlékui siwo le wò asibidɛ dzi ate ŋu age ɖe wò ŋɔti me eye wòana dɔlékui nadze ŋuwò . Ne edzɔ alea la, nɔnɔmea agblẽ ɖe edzi.

Eyata nu nyuitɔ si nàwɔe nye be nàkpɔ ɖɔkta eye woado wò kpɔ. Emegbe woate ŋu alé ŋku ɖe eŋu ahagblɔ nusi tututu gblẽ la na wò.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Nusi koŋ gbɔ do le ŋɔti ƒe gli ŋue nye be ʋuka siwo le ŋɔti me la gblẽ. Ne nu gblẽ alea la, ate ŋu agblẽ ʋu ƒe sisi yi ŋɔti ƒe gli ŋu. Emegbe, lãmenugbagbevi mawo mexɔa nunyiame si hiã o, wogbɔdzɔna, eye mlɔeba do ate ŋu ado. Na míakpɔ susu siwo koŋ tae kpɔa ŋusẽ ɖe esia dzi ɖa:

• Dɔlélenutsiŋutete ƒe dɔlélewo: Kpuie ko la, dɔléle siawo nye esiwo me míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbeviwo dzi le. Le kpɔɖeŋu me, dɔlélewo abe granulomatosis kple polyangiitis , lupus, kple ƒunukpeƒetetedɔ ene ate ŋu ana do siawo ƒomevi nado.
• Atikevɔ̃ɖizazã: Steroid atike aɖewo zazã fũu akpa , alo atike siwo wotsɔna ƒoa ŋɔti abe cocaine ene, ate ŋu agblẽ nu le ŋɔti me eye wòana do nado. Esiawo ate ŋu anye afɔku gã aɖe.
• Atikewo zazã: Ne wò dɔa bia be nàgbɔ atike siwo gblẽa nu le ame ŋu abe chrome ene ɣesiaɣi la, ema hã ate ŋu agblẽ nu le lãkusi tsɛ sia ŋu.
• Dɔlékuiwo: Dɔlékui ƒomevi aɖewo, abe yɔmekpe kple yɔmekpe ene, hã ate ŋu ana do nado le ŋɔti ƒe gli ŋu.
• Nuveviwɔame: Do siawo ate ŋu atso nusiwo le abe ŋɔti ƒe gbagbã, ŋɔti ƒoƒo sesĩe le afɔku me, alo ŋɔti ƒe ʋuʋu ɣesiaɣi gbɔ hã. Ðeko ame aɖewo fɔa woƒe ŋɔti le numame ta, si hã menye nu nyui o.
• No me nɔnɔmewo: Ate ŋu atso nɔnɔmewo abe atrophic rhinosinusitis kple chronic rhinosinusitis (ŋɔti kple sinus ƒe do siwo xɔa ɣeyiɣi didi) hã gbɔ.
• Kuxi siwo dona tso atikewɔwɔ me: Ɣeaɖewoɣi, ne wole dɔ wɔm na ŋɔti ƒe gli, abe septoplasty , alo le dɔ aɖe si woyɔna be electrocauterization be woatsɔ atɔ te ʋu si dona le ŋɔti me enuenu me la, ɖɔkta ate ŋu agblẽ nu le lãkusi sia ŋu le vo me. Ke hã, esia mebɔ kura o.
• Dɔdzẽwo:Togbɔ be ƒã ŋutɔ hã la, dɔdzẽ ƒomevi aɖewo siwo dona le ŋɔti me hã ate ŋu ana do siawo nado. Kansa ƒomevi vevitɔ si do ƒome kple do aɖe si le no me gli ŋue nye squamous cell carcinoma .

Aleke ɖɔkta aɖe dea dzesi esia?

Ne èyi ɖɔkta gbɔ la, abia wò atikewɔwɔ ŋutinya gbã . Esia fia be ele be nàgblɔ dɔléle ɖe sia ɖe si nèxɔ va yi, amekoko ɖe sia ɖe si nèwɔ, kple atike siwo zãm nèle (eɖanye ɖɔktae ŋlɔe na wò, atikedzraƒee nèƒlee, alo atike bubuwo o) na ɖɔktaa. Be ɖɔktaa nate ŋu anya dɔlélea nyuie la, ele be wò lãmesẽ ŋuti nɔnɔmetata blibo nanɔ esi.

Emegbe, ɖɔktaa ado wò ŋɔti kpɔ. Woate ŋu awɔ dodokpɔ aɖe hã si woyɔna be nasal endoscopy . Esia bia be nàde mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ sue aɖe kple akaɖi le eƒe nuwuwu le wò ŋɔti me be nàlé ŋku ɖe wò ŋɔti ƒe eme ŋu. Ate ŋu aɖe wò ŋɔti ƒe akpa si le eme hã.

Ne ɖɔktaa susui be dɔlékui aɖe gbɔe doa tso la, aɖe gbe be woado ʋu aɖewo kpɔ . Azɔ hã, ne ƒu aɖe le ŋɔti me la, woate ŋu awɔ biopsy ( woɖea ƒunukpeƒea ƒe kpɔɖeŋu sue aɖe hena dodokpɔ) akpɔe ɖa be kansae wònye hã.

Nukawoe nye atikewɔmɔnuawo?

Atikewɔwɔ nɔ te ɖe alesi wò dzesiawo nu sẽe, doa ƒe lolome, kple nenye be doa gblẽ nu le wò ŋɔti ƒe wɔwɔme ŋu alo gbɔdzɔe dzi.

Nusiwo nàte ŋu awɔ le aƒeme kple atikewo

Zi geɖe la, aƒeme atikewo li na do sia si le ŋɔti ƒe gli ŋu.

• Wò ɖɔkta ate ŋu aŋlɔ ami siwo wua dɔlékuiwo alo atike siwo wotsɔna ƒua gbe ɖe ŋɔti me siwo me atike siwo naa ŋutigbalẽa fa miamiamia (esiwo kpena ɖe ŋutigbalẽa ŋu wòtsia) le.
• Wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàzã tsilénu be xɔa me natsi, alo nàzã dzetsi alo tsidede ŋɔti me edziedzi. Atikewɔwɔ siawo kpena ɖe ŋuwò be wò ŋɔti ƒe eme nɔa tsi. Esia ate ŋu akpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ, akpe ɖe ŋuwò nàkɔ ƒunukpeƒetetedɔa ŋu, eye wòakpe ɖe ŋuwò be doa nagalolo o.

Abɔta sue aɖe na ŋɔti (`Prosthetic button`) .

Ɣeaɖewoɣi la, ɖɔkta ate ŋu azã ametia ƒe abɔta atsɔ axe doa.De nane abe ŋɔti ƒe ʋuƒo ene wò ŋɔti me. Ele abe abɔta si le awudziwui dzi ene, gake wowɔe be wòage ɖe wò ŋɔti me. Wowɔ ɖewo na wò ŋɔti koŋ, gake bubuwo ya wowɔ do ŋgɔ. Abɔta ate ŋu anye akpa ɖeka, alo ate ŋu ava le akpa eve siwo asɔ ɖe wò ŋɔti me. Gake wotsɔa nusiwo mele dedie le atikewɔwɔ me, abe silicone ene, wɔa woe.

Le wò nɔnɔmea nu la, ɖɔkta ate ŋu ade atike si naa alɔ̃dɔdɔ wò (si fia be èle alɔ̃ dɔm) me ne wotsɔ abɔta sia de eme. Alo, woate ŋu awɔe le ɔfis, afisi wowɔa akpa si ƒo xlã wò ŋɔti ko le.

Ne ametia ƒe abɔta le asiwò abe esia ene hã la, ele vevie ŋutɔ be nàna wò ŋɔti ƒe eme naxɔ dzo. Ele be nàyi edzi awɔ nuwo abe fafamɔ̃ si míeyɔ va yi zazã kple tsi si me dze le aklɔ wò ŋɔti ene.

Amekoko

Ne dɔdamɔnu bubuwo mewɔ dɔ o, alo ne wò ɖɔkta bu be ènye ame nyui aɖe si woate ŋu awɔ dɔ na wò la, woate ŋu awɔ dɔ na wò atsɔ axe doa. Amekokomɔnu vovovowo li siwo wò amekola ate ŋu azã. Atia atike si asɔ na wò nɔnɔmea nyuie wu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èsusu be do aɖe le wò ŋɔti me le wò dzesiwo nu la, ele be nàyi ɖɔkta gbɔ godoo. Nɔnɔme bubu geɖewo hã li siwo ate ŋu ahe dzesi mawo tɔgbe vɛ. Eyata ele be nàyi ɖɔkta gbɔ be woakpɔ dɔlélea nyuie eye wòakpɔ atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò.

Nukae woate ŋu akpɔ mɔ na le nɔnɔme sia me?

Do si le wò ŋɔti ƒe gli ŋu mahaya le eɖokui si o. Gake ema mefia be ehiã be nàxɔ atike enumake o. Le ame geɖe gome la, aƒeme atikewo ate ŋu akpe ɖe wo ŋu woaɖu dzesiawo dzi eye woaxe mɔ na doa be wòagalolo o. Mia kple wò ɖɔkta miate ŋu atso nya me be anyo wu be mialé ŋku ɖe doa ŋu ko.

Gake ne ehiã be woawɔ atike aɖe na wò, eɖanye abɔta dede alo amekoko o, ɖɔktaa aɖe atikewɔmɔnu ɖesiaɖe ƒe viɖe kple kuxiwo me na wò. Woagblɔ nusita wokafu atikewɔmɔnu ɖeka wu bubu hã na wò.

Ne do aɖe si le wò ŋɔti ƒe gli ŋu ahe kuxi aɖe vɛ na wò alo mahe kuxi aɖeke vɛ na wò o la nɔ te ɖe doa ƒe lolome, afisi wòle, kple nusi gbɔ doa tso dzi. Wò ɖɔkta abu nu siawo katã ŋu eye wòatso nya me nenye be ehiã be woalé ŋku ɖe wò nɔnɔmea ŋu alo woawɔ atike nɛ. Eyata ne èsusu be do aɖe le ye ŋu abe esia ene la, yi ɖɔkta gbɔ enumake. Le wò nɔnɔmea nu la, woate ŋu adzrae ɖo alo akpe ɖe ŋuwò nàkpɔ egbɔ kuxi aɖeke manɔmee.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Eyata do aɖe si le ŋɔti ƒe gli ŋu, si woyɔna be perforated septum , ate ŋu anye esi me dzesi aɖeke mele o ɣeaɖewoɣi, gake ate ŋu ahe dzesi siwo ɖea fu na ame hã vɛ.

• Nɔ ŋudzɔ ne dzesiwo abe ŋɔti me ƒuƒu, ŋɔti ƒe ƒuƒu, ʋu si le dodom le ŋɔti me, alo ɣlidodo ne èle gbɔgbɔm ene le ŋuwò .
• Mègadze agbagba be yeatsɔ asibidɛ afɔ yeƒe ŋɔti o. Ema ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.
• Nu geɖewo ate ŋu ahe esia vɛ; dɔléle aɖewo, atike muamewo zazã, abixɔxɔ, kple ƒã hafi dɔdzẽ gɔ̃ hã.
• Ele vevie be woayi ɖɔkta eye woakpɔ dɔlélea nyuie.
• Atikewɔwɔ ate ŋu anye beléle na ame le aƒeme, abɔta sue aɖe si woda ɖe ŋɔti me, alo amekoko. Wò ɖɔkta atso nya me le nusi nyo na wò ŋu.
• Togbɔ be do siawo mehayana le wo ɖokui si o hã la, mehiã be woawɔ atike na wo vevie ɣesiaɣi o. Ɣeaɖewoɣi la, ŋkuléle ɖe nu ŋu sɔ gbɔ.

Nu vevitɔe nye be ne ɖikeke aɖe le mewò le esia ŋu la, mègavɔ̃ be yeaƒo nu kple ɖɔkta o. To mɔ sia dzi la, àkpɔ kpekpeɖeŋu si nèhiã.

` No me toto, do le no me gli me, Perforated Septum, Nosebleed, No me ʋuʋu, Whistling sound tso ŋɔti me, Dry Nose